Individual provider Active NPI

Joseph Cameron Entrekin, PHARMD, CDM

  • Pharmacist
  • Bremen, GA
National Provider Identifier
1255453296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
018340 Issued in GA
Practice address
116 Buchanan St N
Bremen, GA 30110-1606
Phone
(770) 537-2364
Fax
(770) 537-3032
NPI assigned
Apr 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 018340 GA Primary

Addresses

Primary practice location

116 Buchanan St N
Bremen, GA 30110-1606

Mailing address

501 Valley Run Dr
Bremen, GA 30110-2411
Phone (770) 537-3574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
018340GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jones and Clayton Drugs, Inc PastSince Jul 24, 2022 Accepting new patients
Jones and Clayton Drugs, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255453296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VALLEY RUN DR",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102411",
            "telephone_number": "770-537-3574",
            "fax_number": "770-537-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BUCHANAN ST N",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301101606",
            "telephone_number": "770-537-2364",
            "fax_number": "770-537-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTREKIN",
        "first_name": "JOSEPH",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CDM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "018340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.